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PROJECT TOPIC:  EVALUATION OF THE IMMUNIZATION STATUS OF CHILDREN IN A RURAL SUBURB OF ANAMBRA STATE
Department:  Public Health Technology
AMOUNT:  10,000
FORMAT:   MS WORD
PAGES:  98
 
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ABSTRACT

Background
Childhood immunization is a cost effective public health strategy.
Expanded Programme on immunization (EPI) services have been
provided in Anambra East local government area of Anambra State
mainly through the health facilities in the LGA.

Objective
The objective of this survey was to assess vaccination coverage and
its determinants in this rural suburb in Nigeria.

Methods
A cross-sectional survey was conducted in October 2010, which
included the use of interviewer-administered questionnaire to
assess knowledge of mothers of children aged 12-23 months on
childhood immunization and vaccination coverage of the children.
Survey participants were selected using a multistage sampling
method. Vaccination coverage was assessed by vaccination card
and material history. A child was said to be fully vaccinated if he or
she had received all the following vaccines: a dose of BCG, three
doses of OPV and DPT, and one dose of measles by the time he or
she was enrolled in the survey. Person chi-square (x2) test was
performed to identify determinants of full immunization status.

Results
250 mothers and 250 children (each mother had one eligible child)
were included in the survey. 80 (32%) of the children were fully
immunized while 112 (44.8%) were not immunized from the
vaccination cards while with maternal history 86 (34.4%) were fully
immunized, though this difference was not statistically significant
P = 0.210 45 (26.5%) of 170 children who defaulted had visited a
health facility since their last vaccination or since they attained
appropriate age.
Majority of the children 109 (43.6%) received their vaccination in
Public health facilities.
Chi-square test showed that mothers educational status
(P = 0.004), religious denomination (P = 0.019) and
child’s problem after immunization P = 0.012 were
significantly associated with under immunization.

Conclusion/Recommendations
It is therefore concluded that despite all the efforts made by the
government, the vaccination coverage in this rural suburb is still at
a level that does not provide high protection (80%) against DPT/
OPV and even measles.
To improve on the low immunization coverage, attention should
be paid to female education, health education, capacity building of
the immunization service providers and supportive supervision.

TABLE OF CONTENTS

Approval Page …………………………………………………… i
Declaration ………………………………………………… ii
Dedication …………………………………………………. iii
Acknowledgement ………………………………………… iv
Table of contents …………………………………………. v
List of Tables ………………………………………………. viii
List of Figures ……………………………………………… x
Abbreviation ………………………………………………… xi
Abstract ……………………………………………………… xiii

CHAPTER ONE
Introduction————————————————— 1
1.1 Background of the study—————————— 1
1.2 Statement of the problem—————————– 3
1.3 Justification of the study—————————– 4
1.4 Objectives———————————————— 5

CHAPTER TWO
Literature Review——————————————– 6
2.1 Historical Perspective———————————- 6
2.2 Immunization schedule in Nigeria (see annex)—– 8
2.3 Factors that influence Immunization Coverage—- 8
6
2.4 Socio-economic status——————————— 10
2.5 Concern about vaccine safety and contraindications
To immunization—————————————– 11
2.6 Missed Opportunities———————————— 12

CHAPTER THREE
Subject, Materials and Methods————————— 15
3.1 General background (Map as annexed) study Area 15
3.2 Study Population—————————————- 16
3.3 Study Design——————————————— 16
3.4 Sample size determination—————————– 17
3.5 Sampling Technique———————————— 18
3.6 Data Collection (a) Questionnaire——————— 20
3.7 Data Entry and Analysis——————————- 21
3.8 Study Hypothesis and decision rules—————- 22
3.9 Ethical Consideration———————————- 22
3.10 Limitation of the study——————————— 23
3.11 Working Definitions———————————— 24

CHAPTER FOUR
Results——————————————————— 27
4.0 Characteristics of the study population————- 27

7
CHAPTER FIVE
Discussion—————————————————– 48

CHAPTER SIX
Conclusion—————————————————– 60
Recommendation———————————————- 62
Reference

 

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